Nursing Elites

1. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

2. The outermost level of Bronfenbrenner's model is the __________.

• A. microsystem
• B. macrosystem
• C. exosystem
• D. mesosystem

Correct answer: B

Rationale: The outermost level of Bronfenbrenner's model is the macrosystem. This level refers to the broader cultural context that shapes the values, laws, customs, and resources of a particular society. It includes factors such as ideology, political systems, societal norms, and cultural influences that impact development at all other levels within the model. Choice A, microsystem, refers to the immediate environment or setting in which an individual lives and interacts. Choice C, exosystem, involves settings that individuals do not directly experience but still influence them. Choice D, mesosystem, refers to the connections between various aspects of an individual's microsystem.

3. Unlike Jean Piaget, Lev Vygotsky viewed cognitive development as a _________ process.

• A. socially mediated
• B. genetically predictable
• C. preoperational
• D. neurological

Correct answer: A

Rationale: Lev Vygotsky viewed cognitive development as a socially mediated process, emphasizing the role of social interactions and cultural influences in shaping a child's cognitive development. This is in contrast to Jean Piaget, who focused more on individual interactions with the environment. Vygotsky believed that cognitive development is significantly influenced by social interactions with others, highlighting the importance of collaborative learning and cultural context. Choices B, C, and D are incorrect as they do not align with Vygotsky's perspective on cognitive development.

4. Which factor disrupts the brain's regulation of hunger and metabolism?

• A. Self-regulation
• B. Frequent eating out
• C. Reduced sleep
• D. Using screen media

Correct answer: C

Rationale: Reduced sleep is the correct answer as it affects hormones that regulate hunger and metabolism, leading to increased appetite and weight gain. Self-regulation is not directly related to the brain's regulation of hunger and metabolism. Frequent eating out may impact food choices and portion sizes but is not specifically linked to disrupting the brain's regulation. Using screen media can affect sleep patterns but is not as directly related to the brain's regulation of hunger and metabolism as reduced sleep.

5. What is the best-known effect of smoking during the prenatal period?

• A. Colic
• B. Respiratory distress at birth
• C. Low birth weight
• D. Delayed language development

Correct answer: C

Rationale: The best-known effect of smoking during the prenatal period is low birth weight. Smoking during pregnancy is a known teratogen that can lead to negative outcomes for the developing fetus, such as growth restrictions resulting in low birth weight. This condition can have significant long-term consequences on the child's health and development. Choices A, B, and D are incorrect as they are not the primary effect associated with smoking during the prenatal period. Colic is typically associated with digestive issues, respiratory distress at birth can be caused by various factors other than smoking, and delayed language development is not directly linked to smoking during pregnancy.

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